DR. NITIN NARENDIR SOORYA (MD) – Emergency Medicine Physician, NPI 1003833070

DR. NITIN NARENDIR SOORYA (MD) is a healthcare provider. based in Lake geneva, Wisconsin. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 036104394 (IL). The NPI Number for DR. NITIN NARENDIR SOORYA (MD) is 1003833070

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. NITIN NARENDIR SOORYA (MD)
NPI
1003833070
Phone
(262) 245-0535
Address
N2950 STATE ROAD 67
Enumeration Date
16 July 2006
Last Update Date
15 February 2024

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7737941000
Graduation Year
2001 (25 years ago)
PAC ID
1254423627
Group Practice PAC ID
8729064159
Professional Enrollment ID
I20070815000835
Address ID
IL606411651CH4211XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,309 EMERGENCY MEDICINE in WI

Provider Addresses for DR. NITIN NARENDIR SOORYA (MD)

  • N2950 STATE ROAD 67

    LAKE GENEVA, WI 531472655

    Phone: (262) 245-0535

    Type: Mailing

  • 1590 W ALGONQUIN RD # 112

    HOFFMAN ESTATES, IL 601921575

    Phone: (847) 899-6999

    Fax: (847) 787-1784

    Type: Mailing

  • 1420 BUSSE ROAD

    ELK GROVE VILLAGE, IL 60007

    Phone: (847) 653-0142

    Fax: (847) 621-2255

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070815000835IEmergency MedicineILTBD
I20070815000844IEmergency MedicineWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes2727$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)1818$0
99213Established patient office or other outpatient visit, 20-29 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 53147)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729064159View full group profile
NameSpecialtyState
Physician AssistantIL
-IL
-IL
Physician AssistantMI
Physician AssistantIL
-NY
Physician AssistantIL
Nurse PractitionerIL
Physician AssistantMI
Physician AssistantIL

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Frequently asked questions

Is there an official ID for DR. NITIN NARENDIR SOORYA (MD) in U.S. healthcare records?
The official identifier for DR. NITIN NARENDIR SOORYA (MD) is NPI 1003833070.
Is DR. NITIN NARENDIR SOORYA (MD) shown as active in public data?
Registry records indicate DR. NITIN NARENDIR SOORYA (MD) maintains an active NPI.
What kind of doctor is DR. NITIN NARENDIR SOORYA (MD)?
DR. NITIN NARENDIR SOORYA (MD) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Wisconsin is DR. NITIN NARENDIR SOORYA (MD) registered?
Use Lake Geneva, Wisconsin as the headline location for DR. NITIN NARENDIR SOORYA (MD) here.
Does DR. NITIN NARENDIR SOORYA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.